Outsource DME billing

  • DME Billing
    are-you-conducting-the-right-follow-up-on-all-the-dme-denied-claims

    Are You Conducting The Right Follow Up On All The DME Denied Claims?

    Getting to know the basics of denial management is vital for successfully running a medical practice and Durable medical equipment (DME) facility. Facilities that are showing positive bottom line numbers at the end of each month will generally have denial rates below 2%-3%. Also, nowadays payers are embarking system software’s so they can identify different payment procedures which apply the contract requirements. For some insurer’s, it seems that the procedure is skewed to effect denial, whenever anything is unclear. Along with this, most insurance companies expect only a fraction of DME facilities to follow-up on the claim and re-submit a corrected version. Clearly, producing clean claims saves facilities money. Indeed, even with the rising number of claims being denied all the time, DME facilities must not lose heart. There are numerous ways to answer the issue of, how to rectify increasing claim denial rates. Practices can obviously target regular zones of through where a claim denial occurs, but looking beyond the traditional norms is not just enough. Today, even a minute DME billing and coding mistake can lead to a denial or delayed reimbursement. And in such a scenario, if you are not applying the right kind follow up procedures,…

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  • DME Billing
    align-your-dme-billing-and-coding-priorities-with-experts-and-experience-a-profitable-income-cycle

    Align your DME Billing and Coding Priorities with Experts and Experience a Profitable Income Cycle

    Managing a Durable Medical Equipment (DME) facility is without a doubt a tough task. Right from providing patients the correct medical gear to overlooking the revenue management cycle, insurance reimbursements, along with medical billing and coding requires the help of experienced experts, be it in-house or outsourced. As a DME medical billing service provider, we know that the income cycle administration for practices has turned out to be more entangled than before. With regularly changing insurance agency norms, government regulations, compliances, and medical reforms, it has turned out to be practically impossible for DME facilities to keep up with the changing business environment. However, what this does is that it creates delayed reimbursement or denied claims, resulting in negative income cycle, and hence it becomes your top priority to align your DME billing and coding priorities with experts to experience a profitable income cycle. As one of the most prominent medical billing and coding company, catering to the US facilities our procedure is characterized is such a way that we do not miss any opportunity to increase your collection rate. Medical Billers and Coders work with a unique process workflow combined with our very own system software and technology that…

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  • DME Billing
    digging-deep-in-dme-coding-external-elements-that-streamline-your-medical-billing

    Digging Deep in DME coding: External Elements that streamline your Medical Billing

    Medical billing and coding from the outside may look like an easy on the run job, but it has much more intricacies that what you can imagine. The Durable Medical Equipment charges, which have different ‘codifications’, altogether are is making life worse for DME owners to sustain a streamlined revenue cycle, as most of the claims are being denied or delayed due to incorrect coding or billing information. The moot question that arises here is how can DME suppliers go to the root cause of the daily coding issues. Can they use external elements to streamline their entire billing cycle and aging AR days? Let’s find out. If you are into medical billing and coding, durable medical equipment may scare you as its coding complexities are deeply rooted in HCPCS or Healthcare Common Procedure Coding System Level II codes and Medicare’s policies. Not to worry, as there are many ways to fine-tune your DME coding abilities by digging into the DME and exploiting how to properly assign HCPCS Level II codes for billing. Firstly, one needs to start by getting their hands dirty and scooping away the top layer of DME by defining it. Next, you need to dig deeper…

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  • DME Billing
    out-of-pocket-payments-and-your-dme-facility-what-you-should-know

    Out of Pocket Payments and your DME facility!! What you should know?

    There are certain considerations when you are choosing health insurance is a plan’s out-of-pocket costs. These are the healthcare expenses that you pay yourself, i.e. out of your own pocket. Out-of-pocket expenses are paid in addition to your monthly premium for health insurance. In order to minimize your healthcare costs, you need to look at your total annual spending for healthcare which includes not just your monthly premiums but also all the money you pay towards deductibles, copayments, coinsurance, and other out-of-pocket expenses. As more and more Americans age in place, or remain living at home instead of moving into skilled nursing homes or assisted living residences, there has been an increased need for seniors to purchase durable medical equipment -DME.  Every year, approximately $50 Billion is spent on durable medical equipment in America, wherein 25% percent of which is paid for directly out-of-the-pocket of consumers. It is important to find other financial assistance programs and minimize their out-of-pocket spending on DME. Before we go with the discussion, it is important to know what we consider as DME Durable Medical Equipment (DME) as well as the terms, Home Medical Equipment (HME) and home healthcare equipment are used interchangeably. They refer…

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  • DME Billing
    durable-medical-equipment-most-simple-things-you-need-to-know

    Durable Medical Equipment: Most Simple Things You Need to Know

    With age, there comes a dependency.  We may require assistive equipment to help us do things that were earlier easy, such as climbing stairs or standing up from a chair. The majority of older adults have never previously encountered this type of adaptive equipment, and navigating this new world of insurance and vendors can be overwhelming. That’s why you need to know about Durable Medical Equipment widely termed as (DME). What Is Durable Medical Equipment? Durable medical equipment is things that are most familiar as hospital beds, commodes, wheelchairs, items like that that are needed for a patient or client to help them function with their daily living. There are some things that we all see in the hospital that you can have at home. Some things you need to have and some things are just a convenience. Not just for people who are old and aged, DME also fits all the below mentioned criteria: How Is The Coverage Offered For DME? DME is generally covered subject to the indications listed below: Durable Medical Equipment (DME) and orthotic benefits, including certain disposable supplies, enteral feedings and the following diabetic supplies and equipment: glucose monitors, insulin pumps, syringes, blood and urine…

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  • DME Billing
    why-are-dme-suppliers-favoring-offshore-billing-agencies

    Why are DME suppliers favoring Billing companies?

      Going outsource from your local demographics to attain a higher return on investment is the latest trend engulfing healthcare units, clinics, hospitals and outpatient facilities in the U.S. Partnering medical billing companies help Physicians to effectively survive and make an impact in tough economic clout, as they are specialists in resolving delayed payment issues, lagging A/R days, denial and follow-up management and most importantly cut down the errors in medical billing and coding of your DME supplies. What did you get with a DME Medical Billing Agency? DME medical billing agencies provide practitioners and insurers quick access to talented resources, which are prepared to execute assigned tasks immediately. Value added services with satisfactory results are the need of the hour for many DME suppliers. Hiring a company that only deals in delivering revenue based result not just emphasizes the cash flow, but brings to fore a streamline and combined effort to desired results. These billing companies provide end-to-end and a comprehensive medical billing service. They also take up short term projects helping in clearing the A/R back-logs, as DME billing agencies are flexible and quickly adopts changes to provide good process results. Keep in mind that a good company…

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  • DME Billing
    resolving-the-durable-medical-equipment-billing-dilemma

    Resolving the Durable Medical Equipment Billing Dilemma

    The Durable Medical Equipment (DME) industry is one of the most complex and continually evolving enterprises. While, there are some facilities which have a dedicated in-house accounts department, but most of DME practices today favor to outsource their billing, coding and revenue requirements to professional medical billers and coders. Getting all your charge entries streamlined is one of the most tedious activities one can undertake. Constant adherence to quality is a must. The facility should also stay abreast of all the changes happening in reimbursement regulations and coding. Off-loading the work to an outsourced DME billing company provides a substantial delivery platform that ascertains greater productivity with high quality at a lower cost, and this is where outsourcing steps in. Resolving the Durable Medical Billing Dilemma Choosing an accomplice When looking for an accomplice for DME billing administrations, the facility should conduct a background check as to experience in this field. The outsourcing organization ought to have the capacity to deal with all elements of the income cycle. A solid process has driven philosophy that begins at the offshore destination and remains until the end of the venture, aides to an engaged delivery system. This also helps the suppliers to…

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